24352 (2) 1575 Jamestown
Building Permit Confirmed ,❑.,/
Not Required Xr
CITY OF SAN JOSE BUILDING DEPARTMENT
r—
^, `APPPLII'C�ATTION FOR :ELECTRICAL PERMIT
Date---- A. eap--Z4--.-------- 19,67.3 Permit No.0-2— ------------------
The undersigned hereby s fi a 1c I r of the City of San Jose
fora permit to ins}all alae t�i as a reverse side.
Exemption from require ant fo tate of California for Contractor's License is hereby claimed
by undersigned: as owner ❑ statement fitn
Undersigned attests iha h #e of li n' gp?e'�!M�if�is
Lie nse
is in full force end efiec# o erly a an /San Jose City Business icensa #'I certify that in }he performance of the work or which }his issued shell not employ
any person in any manner so as to violate the workmen's compensation laws of California.
OWNER
ADDRESS
USE OF BUILDING CIA14 W, -)RAM-1
��
FIRM(2X)-ASIGNED
280-10 p
1575 Jamestown Gotelli
ITEMIZE THE FOLLOWING New Old
Outlets 31 Panels, Cabinets Size Service Conduit _4
Switches Switchboards Size Service Wires
Receptacles Panelboards Size Service Switch
Fixtures �� Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires
Ranges KW Heaters KW Number of Circuits _
Signs Transformers Motors Number of
Meters
HP Phase Ampere Loads - -W Lighting Power
Miscellaneous
Rough Inspection By
Final Inspection p z A
By_
Remarks: